Individual provider · Type 1 NPI

Gwynetth E. Kelly, DBH

Clinical Social Worker · Phoenix, AZ

NPI number 1689732786 Active

Practice location

15600 N Black Canyon Hwy # C103
Phoenix, AZ 85053-4055

Call (602) 320-7925 Map

Fax (877) 958-9033

Mailing address

PO Box 86881
Phoenix, AZ 85080-6881

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	LCSW-15492 (AZ)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1689732786

Gwynetth E. Kelly, DBH's National Provider Identifier is 1689732786, issued on Dec 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 6, 2021.